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Concern: Nose

Procedures:

Fillers (Juvederm, Restylane, Radiesse, Sculptra) , Rhinoplasty , Nasal Fractures

Ages:

20's , 30's , 40's , 50's

HA Fillers (Juvederm, Restylane)

Author: Min Ahn

Fillers (Juvederm, Restylane, Radiesse, Sculptra)

Since the introduction of bovine collagen for treating wrinkles, significant advances have been made with soft tissue fillers. Currently the most popular fillers in the United States for skin creases and volume deficient areas are the hyaluronic acid fillers (HA). The two most popular of such fillers are Juvéderm® Ultra and Restylane®. Both fillers have the advantages of being well tolerated by the body, long lasting and natural appearing.


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Radiesse

Author: Min Ahn

Fillers (Juvederm, Restylane, Radiesse, Sculptra)
Radiesse is long lasting soft tissue filler that is a popular choice for facial volumizing treatments. It is FDA approved for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (laugh lines). Radiesse is composed of Calcium hydroxylapatite microspheres suspended in a gel carrier and high purity water. When Radiesse is injected into tissue it provides an immediate 1:1 level of correction. Over the course of 3-6 months, the gel carrier is degraded and the remaining Radiesse particles act as a scaffold for new collagen formation. This process is thought to account for extended, “semi-permanent” correction.

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Rhinoplasty

Author: David W. Kim, MD FACS

Rhinoplasty
Rhinoplasty is an operation in which the shape of the nose is changed in order to create improvements in appearance and/or function.  Because the nose sits in the center of one’s face, cosmetic rhinoplasty can make a significant impact in improving one’s overall appearance.  It is widely acknowledged that rhinoplasty is the most difficult of all the surgeries performed in facial plastic surgery because of the complex three-dimensional anatomy of the nose.

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Nasal Fractures

Author: Patrick Byrne, MD FACS

Nasal Fractures
Nasal fractures are the most commonly occurring type of fracture in the US. The nose may be injured during sports, altercations, motor vehicle accidents or other incidents of blunt facial trauma. This section will discuss nasal fractures and their management.

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Sculptra

Author: David W. Kim, MD FACS

Fillers (Juvederm, Restylane, Radiesse, Sculptra)
Commercially available fillers have seen recent increased popularity.  These office based treatments improve the appearance of unwanted wrinkles, folds, and areas of hollowing or deflation in the face.  The most commonly used fillers come in a paste or gel form and are introduced to the desired location under the skin surface through needle injection.   Collagen, hyaluronic acid, or hydroxyapatite are types of fillers available on the market.  These substances, which also naturally exist in the body, create a beneficial effect by direct addition of volume into specific areas.  A disadvantage of these products is the fact that they are reabsorbed by the body within 6-18 months after placement.  Although there are some non-absorbable, permanent products used, these have not gained the popularity of the absorbable fillers, likely due to concerns about the potential for long term or permanent complications.

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Rhinoplasty- Revision

Author: David W. Kim, MD FACS

Rhinoplasty
Rhinoplasty is viewed by many to be the most difficult operation in plastic surgery.  Thus it is no surprise that rhinoplasty has one of the highest revision and complication rates of any operation.  Because revision rhinoplasty seeks to correct problems created by previous rhinoplasty, the surgeon and patient must have a clear understanding of the nature of the complications created from the original operation.  Due to the vast breadth of approaches, techniques, and philosophies used in primary surgery, a broad range of problems for which one may seek revision surgery exist.

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Rhinoplasty- Functional

Author: David W. Kim, MD FACS

Rhinoplasty
In essence, rhinoplasty is an operation in which the shape of the nose is changed in order to create some desired improvement.  In many cases, the goal is cosmetic.  However, surgery can also be performed with the goal of creating improvement in nasal airflow—a procedure commonly known as functional rhinoplasty.  In truth, there are a number of procedures which may help to correct nasal obstruction.  Functional rhinoplasty refers to an operation in which a combination of these surgical procedures is performed with the goal of nasal airflow improvement.  In some cases, both cosmetic and functional improvements are made in the same operations.  These procedures may be termed “hybrid”, “dual” or “blended” rhinoplasty.  In some situations, the same surgical technique will simultaneously improve both breathing and appearance, particularly in the cases of revision rhinoplasty when the structural integrity of the nose was previously weakened.

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Rhinoplasty

Author: Patrick Byrne, MD FACS

Rhinoplasty
Plastic surgery of the nose – rhinoplasty – is performed to improve the appearance of the nose. It may be performed in conjunction with procedures to improve the breathing, or to correct injuries that occurred as the result of trauma. It is a fascinating, exciting, and challenging procedure, often referred to as the most technically sophisticated of all plastic surgery procedures. What is truly unique about rhinoplasty is the fact that no two noses – and thus no two rhinoplasties – are ever exactly alike. Every patient has his/her own unique characteristics – the size, shape, and consistency of the cartilage, the thickness and quality of the skin and soft tissue, and more.

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